HomeMy WebLinkAboutBLD10333 Addition - BLD Permit / Conditions - 4/1/1981 Yonich, Steve #10333 I
04-01-81
J. H. Bill, Sub. Lot 5 - Mason Lake
1 mile past Calm Cove Marina going North
Addition for sleeping quarters
li �Az �$15,600 Plumbing Permit
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. �d
OWNER NAME ` MAIL ADDRESS CITY I STATE ZIP PHONE
TV 7' ' D Q 20 Z 3oS
DIRECTIONS
TO JOB SITE /rJ/ �ST 0 /NQ tV Ttl
LEGAL / �J (❑ SEE ATTACHED SHEET)
DESCR
NAME MAIL ADDRESS CITY S STATE LICENSE NO. PHONE
CONTRACTOR cJ7•G„E
G�
USE OF
BUILDING �U
Class of work: ❑ NEW LP,-I�DDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
EP��vG E lj)(2 fTE B Q
Valuation of work: It 00 PLAN CHECK FEE ,L�/_ PERMIT FEE
CCU "T
SPECIAL CONDITIONS:
r i L G2t �L ,
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS_._ TOTAL SO. FT'+ GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES__ BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE C, DETACHED [
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am'r currently regiopred contractor in WORK IS COMMENCED.
the State of WashP#glotq gala 4 th aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT [ ] SHORELINES I
SEASONAL I i FLOODPLAIN i I
Firm E.D. NO. S.E.P.A. 1_1
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware
of the M son County ordinance requirements for BUILDING DEPT. 17ie_VTt
which th' ,permit is i sued and that all work done will ROAD ACCESS
be ' nformance erewith. MOTOR VEHICLE PERMIT
2 G/ APPLICATION ACCEPTED BY PLANS�CHECK BY , APPROVED FOR ISSUANCE
Owner Date. O �1 ) y�`` �N / {
it r /L L� ` G BUJ •r
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 1
MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT— Complete ALL items. Mark boxes where applicable.
Name Mailing address—Number,street,city,and State Zip code Tel.No.
Owner
2. 5AM E 4S I
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signature of lica Address Application Yate
LEGAL DES IPTION
Location
Of
Building
NO. PLUMBING FIXTURES FEE
r WATER CLOSETS
BASINS
BATH TUBS
SHOWERS
-� WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved y, Permit fee Date ppeernit issued Permit number Receipt No.